Final Medications Flashcards
SSRI medications
Paxil (paroxetine)
Prozac (fluoxetine)
Lexapro (esclatlopram)
SSRI side effects
Initially= insomnia and anxiety Nausea Diarrhea Sleepiness Emotional flattening Decreased libido, difficulty reaching orgasm
SSRI indications
Anti- anxiety
Eating disorder
SSRI mechanism of action
Increases serotonin, indirectly acts on GABA
Used 1st in chronic anxiety disorders
3-4 weeks for sx control
Best with psychotherapy
Benzodiapene medications
Chloridiazepoxide (librium)
Lorazepam (ativan)
Benzodiapenes side effects
Drowsiness Confusion Lethargy Tolerance Psychological/ physical dependence Potentiates effects of CNS depressants (ie, alcohol) May aggravate sx of depression Orthostatic hypotension Paradoxical excitement
Benzodiapenes indications
Anti- anxiety
Tx of alcohol withdrawal (substitution therapy using Ativan)
Precautions when using benzodiapenes
Taper gradually- withdrawal from benzos can be life threatening
Contraindications in patients that have hx of substance abuse
Use cautiously in elderly (orthostatic hypotension)
Medication to treat opioid overdose
Naloxone (Narcan)
Medication to treat opioid withdrawal
Methadone (dolophine) substitution - methadone is an opioid like drug
Buprenorphine
Indications of bupropion (zyban )
Nicotine treatment
bipolar disorder is characterized by ___ ___ from euphoria to ___ with intervening periods of ____. ___ or a ___ pattern may be present
mood swings depression normalcy delusions seasonal
bipolar disorders
bipolar 1 bipolar 2 cycothymic disorder substance/ medication induced bipolar d/t another medical condition
dopamine and __ levels are excessive in ___
norepinephrine
mania
in bipolar __ dopamine and ___ levels are ___
depression
norepinphrine
deficient